Li, Ellen
Li, Ellen is an individual health care provider with primary practice located at 3 Technology Dr , East Setauket NY 11733-4064. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Li, Ellen can be contacted via phone (631) 444-5220.Contact Information
Primary practice address
3 Technology Dr
East Setauket NY 11733-4064
Phone: (631) 444-5220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 254956 | New York |
Profile Details
| NPI number | 1023034345 |
|---|---|
| LBN Legal business name | Li, Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Mar 9th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023034345 | NPPES |
| Missouri | MEDICAID | 202278404 |
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